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HomeMy WebLinkAbout12999 CTTY OF DIAMOND BAI� "� ; , � ^---��`-- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �. f ,; 21660 E.Copley Drive Suite 190 " ` .--�' W (909)860-3195 Fas(909)861-3117 PRESS .. � Bi1�.b�NG l�I�M1T A�1'�.ICA'I'�O1V`�"� ` ' ", .,� , _.. ., ... ..� . ....._ .. , ._, �:.�,.�_ ,.. , _.; , .::, . .. r- , .: �..� ,_.. .. . ...,;�. 0 ADDRESS 2�288� HTGHCR�S.� DR:� �,,^�,,,,a,., __ . . � JOB5ITE � Y��� �]� DATECATION � '-�E� NUMBER{_���#!C �� ISSUE TYPE OCC °-° APN LOT TRACT f DATE CONST. GROUP p OWNER � ' f� � u' ADDRESS ZONING SETBACKS � ' ^ �,,,, FRONT RW ❑ CITY ZIP���„7EL ]-� AF'PLICANT 7EL REAR ❑ � ��. �,: SIDFJSIDE STREET_ RW ❑ � CONTRAC70R �- ' e � SIDE ❑�— � ADDRESS -�— �",�/LL „ PROPaSED 11SE ' QCI7Y �Q��e ZIP��ry��TE�GV-��� � o ARCW� � DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. c.� cn DESCRIPTIOP! SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION � .� , . SFR/ADO/REM O I HEREBY AFflRM UNDER PENPLTY OF PEHJURY THAT I AA7 EXEMPT FROM THE COMRACTORS U� G2t'BfJB/Cfl1[fOf4 L�Lt CENSELAWPoRTHEFOLLOtNINGREASON(SEC.7a31.59U51NES$ANDRROfESbIONSCOpEiANYqNOR (n CS COUNT7WHICHREQUIqESAPERMtTTOCQNSTRUCT,ALTER,IMPROVE,DEMOLISH,ORAEPAIRANYSTHUG- �J,f Z TURE,PRIOR TO ITS ISSUMICE,ALSO REQIJIRES THE APPUCAN7 FOR SUCH RERMIT70 FILE A SIONED Patio/Deck � W STATEMENT THRT HE OR SHE IS LICENSED PURSUANT 70 THE PROVISIONS OF THE'CONTpACTORS lb � � CEIVSE UW(CHAPTER B�COAAMENCINO WITH SECTION 70tl0)OF bIVISION 3 0F 7HE pU5INE5SANO PpO� LL' POOVSPB � FESSIONSCODE)OR'fHATHEORSHEISEXEMPTTHEREfROMANOTHEBA515FORTHEALLEGEDEXEMP- (� � . v TION.ANVVIOLATIONOFSECTION7o3�.5BYANVAPPLICANTFORAPERMI7SU&IECTSTHEAPPLiddNTTO Z Re-Roof � ACIVI�PENALTY OF NOT MORE THAN FNE HUNDRE��OLLARS({600),): ' �-'� '- ' ��'� ' -� , Q OI.ASOWNEROFTHEPROPERN,ORMVEMPLOYEESWITHWAGESASTNEIRSOLECOMPENSATION, � C0f11rt1erCldl ' . . - � Will DO THE WORK,AN�THE STRUCTURE IS NOT INTENDS�OR OFFERED FOR SALE�(SEC.7044,BUSI- J � NESS AND PROFESSlONS CODE:THE CONTRACTORS UCENSE LAW�OES NOT APPLY TO�0.N OWNER OF � PROPERTVWHOBUILDSORIMPROVESTHEREON,ANbW}IObOE$SUCHWORI(HINSELFOfiFIEIiSELFOR � � THNOUGHHISORHEROWNEMPLOYEES,PROVI�ED7HATSUCHfNPRbVElAEN7'5ARE"NOTINTENpEDOR � � � 0 OFFEREDFOR3ALEIF.HOWEVER7kEBUILDINGORIMPROVEMENTISSOIAWITHINON6VEAROFC,OMPI.E Z TK:M,THE OWNER-BUiIDEp WILL HAVE THE BURDEN Oi PROVING hIAT HEOA;SHE b10`NOT Bl11LD OR � � IMPROYEFORTHEPURPOSEOFSAL�. .. .::'. '.^:.'. ' : � W ❑I,AS OWNER OF THE PROPEflTY,AM E%ClU51VELV CANTRACTING W I7N LICENSEO CANtRACTORS , � TO CONSTRUCT THE�PRQIECT(SEC.70W,BUSINE55 AND PROFES516N5 CODE:YHE CONTRAG�TORS LI� VeIUBIlOf1 � � � �� - ADJ.AREA � �� - W CENSEUWDOESNOTAPPIYTOANOWNEROFAPROPEFTYWHOBUILDSORiMPAOVESTHER�'ON,AND � WMIO CONTRACTS fOR SUCH PROJECTS Wlik ACONTqACTOR(5)LICENSE�PUR5UANTTO THE CbNTRAG � roqsuceNSE�aw.�. � � . .. QUANTlTY DESCRIPTION� ��, , , � FEE Q ❑i AM E%EMFT UNDER SEC. B,&?.G FOR THIS REASON J � �('Q�y Pr��I`j'�C�s, � �� ' ' ' � OAlE OWNER ' '� � � � t� ��p ��� � w 2 � o�� � 2 , @ LICENSED CONTRACTORS DECLARATION� W w. . G� i OC 1 HF_REBV AFFIRM UNDER PENALTV OF PERJURY THAT IAM LICEN£E�UNDER AROVISIONS OF CHAPTER 2 p� � e(�MMENCINO WITH SECT�ON�a00)OF DIVISION 3 OF THE BUSINESS AN�PRO�ESSIONS COOE,AND z +„JZ i 4..' • X MY LICENSE R IN FULL E EFF T, m '' � LLO ,,. .. .. .. � UCENSE CLASS IIC.NO.,�����R� � OATE � GONTRACTOR. t f1._� ~"� � � ;�� � � WORKERS'CQMPENSA710N DECIARATION Q -� , � 1 HxREBY AFFIRM UH�ER AENALTV OF PERJURV ONE OFTHE FOLI.O'NING pECLARATIONS: � � . ��.5 �� ,I � � _IHAVEANOWILLMAINTAINACERTIFICATEOFCONSENTTOSELFINSUREfORWORKERS' _ �j COMPENSATION,AS'PROVI�E00'/SECi70N37U00FTHE4ABORG��E,'FOflTHEPERFORMANCE � 4 S I � v L.� � OF THE WOfiK FOR WHICH THIS PERMIT IS ISSUED. � _ QW _I HAVE AND WILLMAINTAIN WORNERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION ' � �j e,�7 ' j'�. �a y �} � I 57oo DF hiE LABDR CODE,FOR THE PERFORMANCE OF THE WOfiK FOR WHIC THI5�PENMI7 IS °! �a °.,7 �s e � ' _ lSSUEO.MV WORK '- SATIO INSUftAN PIERANU POLICY MBEHARE: CON�AUCTION � � .__....... _.,___�..�.�t_.___,__,—...�..,.....�:_.--'---._....e__�. j CARRIER_ ^�'^" '`...� . �'�'��`• .. /� +� PLAN REVIEW. . . . � , POLICYNUM6ER� ' - , ELECTRIC , Q �'� � _., - . Q� (IWS6ECfIO1JNEHJNO7BEO7h�LEfE�OFh�PEW�STISFGRONEHUWTIED�LIA{iS(y1W)ORL-^..SS). PLUMBI T,� t Z ' , ICERTIFYTHATINTHEPERFORMANCEOFTHEYlORKFORWHICHTHISPER!AITISISSUED,I MECHANICAL � ��D 6;J SHAII NOT EMPLOYANY PER50N IN ANY MANNER SOAS TO BECAME SUBJEC7T0 THE �/ �� � � WOPo(ERS'COMPENSATIONLAWSOFCALIFORNIA.ANDAGRcETHATIFISHOULDBECAME INSPEGTIONFEE .----- 6e�=i�— SV BJECT TO7NE WORKERS'COFAPENSATION PROVISIONS CF SECTION 3�on OF THE LA80R � CADE, ypLLF ITHCOMPLYWIINTHOSGPfJ�OVI510NS. ISSUANCE o ��.,"i. ''�,�`� �r "�.�,_. SMIP ��� p DR APPLIGANT: "J� WAFNING FAILURE YO SECURE WORKERS'COMOENSATION COVERAGE IS UNLAWFUL,AND 5 �gE ENERGY P!C ,y SU&IECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFINESUPTOONEH' SANO �-�5.. DOLLAflS(51aa,000),INADOITIONTOTHECOS?OFCOMPENSATION,DAMA3ESASPROVIDEDFOR!N ENERGYPERMt7 � FECTION37oeOFTHELABORCODE,INTEREST,ANOAI'TC)RNEV'SFEES. RETENTIONFEE: �� � '"a�'�'� 2 CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIqMUNDERPENALNOFPERIURYTHATTHEREISACONSTRUCTION�ENDINGA6ENCY FOq THE PERf-0RP9ANCE OFTHE WOPo(FOR WHICH THIS PERMIT IS ISSUED(SEC.3o97,CIV.C.). Z W � LENDER'S NAME . F— LENDEq'SA�ORESS � ICERTIFf?HATIHAVEREADTHISAPPLICATIONANDSTA7ETHATTHEABOVEINFORMATIONISCARFECT. BOTAL FEES , � . � ► � � IAGREETOCAMPLYWITNAf.LCIIYANDCOUNfYORDINANCESANDSTATELAWSRELATINGTOBUILDING � CONSTRUCTIIXJ,ANOHEREBYAUTHORIZE PRESENTATIVESOFTHISC NTVTOENTER�PONTHE - -- Z ABOVE-MENTIONED PROPERiY FOR INS7 ION PURPOSES. � � . �� _,,, COMMENTS_ � � � � � P MITTEE NAME(PRIA�TI ,./���� ry� . Cn •.GG,+'.-1 �'.. �m.'_' ��i 3 gq SI�3NAT cOfPER0.11TTEE �AT� '- . � flECPT.NO. d � PAID BY VAL��ATION ANH —Department Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy . .�...,�.�... _�. .. 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